ArticleIndian journal of orthopaedics2021
Management Guidelines for Infection After ACL Reconstruction: Expert Opinion Statement Based on the Modified Delphi Survey of Indian Arthroscopy Surgeons.
Article in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 9 citations in OpenAlex.
- Post-operative septic arthritis after anterior cruciate ligament reconstruction results in higher osteoarthritis severity and deficit of range of motion: A matched control analysis with a minimum 8-year follow-up.Journal of experimental orthopaedics · 2026Article
- Infection Following ACL Reconstruction: From Prevention to Treatment.The archives of bone and joint surgery · 2026Review
- Chinese expert consensus on failure and revision after anterior cruciate ligament reconstruction.Journal of orthopaedic translation · 2025Article
- In Vitro Study of Gentamicin Elution from Tendon Grafts.Indian journal of orthopaedics · 2023Article
- Postoperative Infection after Anterior Cruciate Ligament Reconstruction: Prevention and Management.Microorganisms · 2022Article
- Prophylaxis for preventing venous thromboembolism in knee arthroscopy and soft tissue reconstruction: consensus statements from an international panel of experts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
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32 authors at 20 institutions in 1 country.
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Abstract
aimInfection after anterior cruciate ligament (ACL) reconstruction, though rare, is a potentially devastating complication and the evidence-based recommendation on the various topics in its management is limited. The purpose of this study was to develop recommendations for the prevention and management of infections in ACL reconstruction surgery by performing a structured expert consensus survey using Delphi methodology. MATERIALS AND
methods22 topics of relevance in the prevention and management of infection following ACL reconstruction were chosen from an extensive literature review. 30 panelists were requested to respond to a three-round survey, with feedback, to develop a consensus statement on the topics.
resultsConsensus statements could be prepared in eleven out of twenty-two topics including: the graft is retained at the first arthroscopic debridement, the graft is removed when repeated debridement are needed, and revision ACL reconstruction is needed only if the patient develops instability. Concurrence could be obtained in the topics including: longer duration of antibiotics is needed in immunocompromised patients, soaking graft in antibiotic solution reduces infection risk, and knee swelling without warmth does not suggest infection.
conclusionsA proper skin preparation, a longer course of antibiotics in immunocompromised patients, and soaking the graft in antibiotics reduces the risk of infection. In case of infection, a healthy-looking graft must be retained at the first debridement and if the graft must be removed, revision ACL reconstruction is advised only if the patient develops instability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43465-021-00363-z.
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